Abraham Colson Bearpaw Valid NPI
Individual provider · Peer Specialist · Wagoner, OK
- NPI
- 1972201622
- Type
- Individual (Type 1)
- Primary specialty
- Peer Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 175T00000X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2023-02-22
- Last updated
- 2023-02-22
Practice location
902 Martin Luther King Blvd
Wagoner, OK 74467-6928
(918) 316-8180